Navegando por Palavras-chave "Patient transportation"

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    Utilização de bombas de infusão no transporte terrestre inter-hospitalar
    (Universidade Federal de São Paulo (UNIFESP), 2018-12-20) Herrera, Jenny Del Carmen Arcentales [UNIFESP]; Kusahara, Denise Miyuki [UNIFESP]; http://lattes.cnpq.br/2666393667209812; http://lattes.cnpq.br/1560373861616487; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Interhospital patient transportation is a frequent activity when the need for treatment supersedes the assistance capacity of the hospital. The use of Infusion Pumps (IP) to infuse drugs is a common method of intravenous therapy inside ambulances. The proposed problem is whether the equipment frequently used and tested inside the hospitals are adequate for ground transportation of patients. Objective: To verify the performance, alarm triggering, volume differences and the influence of transportation physical conditions of the IP. Setting and method: experimental study performed through infusion simulations using fluorometric, volumetric and syringe IPs, during interhospital transportation by basic and advance file support ambulances of the prehospital service in Vale do Ribeira Sao Paulo. 54 experiments were performed, 18 using fluorometric IPs, 18 using volumetric IPs, and 18 using IPs by syringe. The equipment was tested at three different flows (1ml/h, 5ml/h and 50ml/h). Researched variables: measured, registered and expected volumes; type and number of alarm triggering; and ground transportation conditions such as speed, temperature, humidity, trepidation and length. For variance analysis tests OneWay ANOVA e KruskalWallis were applied. The exact tests of Fischer or Quiquadrado were adopted to analyze the categoric variables. The significance level was established at 5%. Results: average of the transportation conditions: speed 146,31 ±79,89 km, time 128,72 ±72,20 min., maximum speed of 116,24 ±10,73 Km/h, maximum trepidation 6,65 ±0,94 in the Ritcher scale, temperature of 24,41 ±4,38 ºC and humidity of 76,25 ±8,39% inside the cabin. Average of the volumes: measured volume 32,18 ±49,98 mL; Expected volume 34,47 ±51,20 mL and Registered volume 31,50 ±48,31 mL. Fluorometric pumps had the highest alarm triggering (50%), followed by the syringe pumps (38,9%) and volumetric pumps (22,2%). The free flow alarm was dominant in the fluorometric pumps and air in the line and obstruction alarms were more common in volumetric and syringe pumps. The volume analysis demonstrated that, in all three types of IP, the expected volume of infusions was higher than the actual volume infused and registered by the IP. The trepidation had the highest correlation with the difference among volumes, Expected, Measured and Registered and the error percentage was a minimum of 2,80% and maximum of 25,93%. Conclusion: The three types of IPs presented performance alterations and the highest frequency of free flow alarm was in the fluorometric ones, specially at a infusion speed of 50mL. The expected volume was higher than the infused volume in all three types of tested IP. There were interferences in the IPs performance when they were subjected to the physical conditions of transportation, specially trepidation and the error percentage was higher than the one defined by the Brazilian Agency of Technical Rules (ABNT).